Cars & Vans on Self Driving Basics, Airport Hire, Wedding Hire

077 123 4567/077 123 4567

Date & Time:………………………………..

CUSTOMER DETAILS
Full Name : ………………………………..………………………………..……………………
Address : ………………………………..………………………………..……………………
ID No :……………………………….. LicenceNo :………………………………..
Contect No : ………………………………..………………………………..……………………

VEHICLE DETAILS
Vehicle Type : ☐ Bike ☐ Three Wheel ☐ Car ☐Van ☐ Bus ☐ Lorry

Vehicle Reg. No :……………………………….. Chassis No: ……………………………..

Vehicle Owner Name : ………………………………..………………………………..……………………

Licence No : ……………………………….. Exp Date: ………………………………..

Insurance No : ……………………………….. Exp Date: ………………………………..

Rental Amount / Day : ……………………………….. No of Days: ……………………………...

Total Amount : ………………………………..………………………………..……………………

KM Allowed / Day : ……………………………….. Extra KM: ………………………………..

Meter Reading : ………………………………..………………………………..……………………

1. Definitions. "Agreement means all terms and conditions found on both sides of this form and on any
other documents we give You at the time of rental. "You" or "Your" means the person identified as the
customer on the reverse side of this Agreement, any person signing, this Agreement, any Authorized
Driver and any person or organization to whom charges are billed by Us at its or the customer's
direction. You are jointly and severally bound by this Agreement. "We". "Us" or "Our means the
independent dealer named elsewhere in this Agreement. "Vehicle" means the automobile identified in
this Agreement and any vehicle We substitute for it, and all its tires, tools, accessories, equipment, keys
and documents. The Vehicle is a temporary substitute for a vehicle that You own or lease. "Authorized
Driver means: (a) the customer, provided that the customer is the registered owner or lessee of the
vehicle being serviced by Us and for which Our Vehicle is a substitute, and that such person is at least
age 21; (b) additional drivers isted by Us elsewhere in this Agreement, provided that each such
additional driver is at least age 25; (c) the customer's spouse, provided that such person is at least age
21; and (d) if the customer is a corporation or other business entity. Authorized Driver includes an
employee of the customer who is a permissible driver on the business entity's business auto insurance
policy, provided each such employee is at least age 21. Every Authorized Driver must possess a valid
driver's license. Only Authorized Drivers may drive the Vehicle. "Loss of Use" means the loss of Our
ability to use the Vehicle for any reason, due to damage to it or loss of it, during this transaction; Loss of
Use equals a reasonable estimate of the income We lost while the Vehicle was out of service for repair or
replacement
2. Rental Indemnity and Warranties. This is a contract for rental of the Vehicle. In addition to any rental
charges stated in this Agreement, Our right (or the right of Our affiliate), to repair Your vehicle is
consideration paid to Us for this rental. We may repossess the Vehicle at Your expense without notice to
You, if the Vehicle is abandoned or used in violation of law or this Agreement. You agree to indemnify Us.
defend Us and hold Us harmless from and against, all claims, liability, costs and attorneys' fees we incur
resulting from, or arising out of, this Agreement or Your use of the Vehicle. We make no warranties,
express, implied or apparent, regarding the Vehicle, no warranty of merchantability and no warranty that
the Vehicle is fit for a particular purpose.
3. Condition and Retur of Vehicle. You must return the Vehicle to Our office or other location We specify, on
the date and time specified in this Agreement, in the same condition that You received it, except for
ordinary wear. If the Vehicle is returned after closing hours. You remain responsible for any damage to
the Vehicle until We inspect it on reopening for business. Service to the Vehicle or replacement of parts
or accessories during this rental must have Our prior approval.
4. Responsibility for Damage or Loss; Reporting to Police. You are responsible for all damage to, or loss or
theft of the Vehicle, including damage caused by weather, road conditions, and acts of nature, whether
or not You are at fault. You are responsible for the cost of repair, or the actual cash retail value of the
Vehicle, on the date of the loss if the Vehicle is stolen, not repairable, or if We elect not to repair the
Vehicle. You are also responsible for Loss of Use, and Our administrative expenses incurred processing
the claim. You are responsible for replacing missing equipment and Vehicle documents. You must check
and maintain all fluid levels. You must report all accidents or incidents of theft and vandalism to Us and
the police as soon as You discover them.
5. Prohibited Uses. The following uses of the Vehicle are prohibited and constitute breaches of this
Agreement. The Vehicle shall not be used: (a) by anyone who is not an Authorized Driver or not licensed
to drive, or by anyone. whose driving license is suspended; (b) by anyone under the influence of alcohol,
prescription or non-prescription drugs; (c) by anyone who obtained the Vehicle, or extended the rental
period by giving Us false, fraudulent, or misleading information; (d) under any circumstances that could
be properly charged as a crime other than a minor traffic violation; (e) to carry persons or property for
hire; (f) to push or tow anything; (g) in any race or speed contest; (h) to teach anyone how to drive; (i)
outside the United States or the geographic area described elsewhere
 in this Agreement; ) on any unpaved surface; (k) when the odometer has been tampered with or
disconnected; (1) when it is reasonable to expect You to know that further operation of the Vehicle
would damage it; (m) where applicable, by anyone who lacks experience driving a vehicle equipped with
manual transmission; and (n) to transport an animal.

6. Charges. You will pay Us, or the appropriate govemment authorities, on demand, all charges due under
this Agreement, including: (a) time and mileage for the period that You kept the Vehicle; (b) applicable
taxes; (c) $50 or the maximum amount permitted by law, whichever is greater, if You pay Us with a check
returned unpaid for any reason; (d) $30 per day or the maximum amount permitted by law, whichever is
greater, for each day You do not return the Vehicle by the Date Due In; (e) all parking and traffic fines, toll
violations, penalties, citations, forfeitures, court costs, towing, storage, impound charges and other
expenses involving the Vehicle assessed against Us or the Vehicle; if You fail to pay a parking, traffic or
toll charge to the charging authority. You will pay Us all fees owed to the charging authority plus Our
administrative fee of $50 for each such violation; (f) all expenses We incur recovering the Vehicle if it is
not returned to the renting location; (g) all costs, including pre- and postjudgment attomeys' fees. We
incur collecting payment from You or otherwise enforcing Our rights under this Agreement; (h) a 2% per
month late fee on all charges due Us but not paid when due; (i) a reasonable fee to clean the Vehicle, not
to exceed $250, if returned substantially less clean than when rented or if it is determined that You or
Your passengers smoked inside the Vehicle or transported animals inside the Vehicle; and () fuel and a
refueling fee if You return the Vehicle with less fuel than when rented. You authorize us to process Your
credit card for all charges, and by signing this Agreement, You are also signing all documents required to
process Your credit card.
7. Deposit. We may use Your deposit, if any, to pay amounts owed to Us under this Agreement
8. Your Property. You release Us, Our agents and employees from all claims for loss of, or damage to. Your
personal property or that of any other person, that We received, handled or stored, or that was left or
carried in or on the Vehicle or in any service vehicle or in Our offices, whether or not the loss or damage
was caused by Our negligence or was otherwise Our responsibility.
9. Breach of Agreement. You waive all recourse against Us for criminal prosecutions We take against You for
breach of this Agreement.
10. Modifications. No term of this Agreement can be waived or modified except by a writing that We have
signed. If You wish to extend the rental period, You must return the Vehicle to Our office for inspection
and written amendment by Us of the Date Due In. This Agreement constitutes the entire agreement
between You and us. All prior representations and agreements between You and Us regarding the use of
the Vehicle are void.
11. Miscellaneous. A waiver by Us of any breach of this Agreement is not a waiver of any additional breach
or waiver of the performance of Your obligations under this Agreement. Our acceptance of payment
from You or Our failure, refusal, or neglect to exercise any of Our rights under this Agreement does not
constitute a waiver of any other provision of this Agreement. Unless prohibited by law. You release Us
from any liability for consequential, special, or punitive damages in connection with this transaction or
the reservation of a vehicle. If any provision of this Agreement is deemed void or unenforceable, the
remaining provisions are valid and enforceable. This Agreement shall be governed and construed by the
laws of the State of Missouri without regarding to its conflicts and choice of law provisions.

DATE………………………………. SIGNUTER………………………